Publications by authors named "Gautam Sharan"
Introduction: The majority of breast cancer patients from India usually present with advanced disease, limiting the scope of breast conservation surgery. Therapeutic mammoplasty (TM), an oncoplastic technique that permits larger excisions, is quite promising in such a scenario and well suited to breast cancer in medium-to-large-sized breasts with ptosis and in some cases of large or multifocal/multicentric tumors. Here, we describe our TM cohort of 205 (194 malignant and 11 benign) patients from 2012 to 2019 treated at a single surgeon center in India, the largest Asian dataset for TM.
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- Breast reconstruction using the Advanced Autologous Lower Dermal Sling (A-ALDS) technique is effective and yields better cosmetic results and fewer complications compared to Conventional Immediate Breast Reconstruction Surgery (IBRS) in patients with small breasts.
- In a study involving 61 patients, A-ALDS showed significantly lower rates of skin necrosis and implant loss, with no complications reported in the A-ALDS group compared to 3 in the IBRS group.
- Patient satisfaction measurements, particularly in cosmetic outcomes and sexual well-being, were rated higher in those who underwent the A-ALDS procedure, making it a promising option for immediate reconstruction.
Introduction: Breast conserving surgery (BCS) followed by radiation therapy (RT) has become the preferred alternative to mastectomy for patients with early stage breast cancer (BC). Randomized trials have confirmed equivalent locoregional control and overall survival for BCS and mastectomy. Extreme Oncoplasty (EO) extends the indications of BCS for patients who would otherwise require mastectomy, ensuring better aesthetic outcomes and oncological safety.
View Article and Find Full Text PDFPrimary synovial sarcoma of kidney is an uncommon neoplasm, metastasizing most commonly to lung. Surgery and/or palliative chemotherapy for pulmonary metastases is commonly used to improve tumor control and survival. Stereotactic body radiotherapy (SBRT) is a relatively new approach to treat pulmonary metastasis, encouraged by the results of cranial and spinal stereotactic radiosurgery.
View Article and Find Full Text PDFBackground: Osteosarcomas, despite their aggressive nature and propensity to metastasize, only rarely give rise to skin deposits.
Case: We report a case of a femoral osteosarcoma in which cutaneous scalp and neck metastases developed 3 years after treatment of the primary disease. Fine needle aspiration was pivotal in diagnosing the secondary disease.